Bertsch, Timothy Thomas
Bertsch, Timothy Thomas is an individual health care provider with primary practice located at 12217 Champlin Dr , Champlin MN 55316-1930. He recently has only one registered license in Chiropractic Providers / Internist, which is considered as his primary health care specialty. Bertsch, Timothy Thomas can be contacted via phone (763) 323-1492.Contact Information
Primary practice address
12217 Champlin Dr
Champlin MN 55316-1930
Phone: (763) 323-1492
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Internist | 111NI0900X | 2076 | Minnesota |
Profile Details
| NPI number | 1437154671 |
|---|---|
| LBN Legal business name | Bertsch, Timothy Thomas |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437154671 | NPPES |
| Minnesota | MEDICAID | 116827400 |
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